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Abstract: Background: Low birth weight (LBW) is one of the main causes of morbidity and mortality besides preterm birth. Proper interventions during pregnancy can prevent an adverse pregnancy outcome. This study aims to see the effect of Moringa leaf capsule on birth weight. Methods: This study was double blind randomized controlled trial (DB-RCT) which consisted of three groups namely, Moringa powder (PG), Moringa extract (EG), and iron-folate (IG) groups. The intervention was given for 12 weeks. The samples were 453 pregnant women in six sub-districts in Jeneponto Regency. Data on birth weight and placental weight were measured by trained midwives. The weight of the placenta was measured to determine the placental ratio to birth weight. In addition, some socio-economic variables such as age, gestational age, eating frequency, smoking, and Hb levels were measured in this study. Logistic and linear regression were conducted in this study. Result: The Moringa leaf supplementation groups (PG and EG) delivered child with better weight than iron supplementation (3240.03±453.82, 3161.91±527.70, 3100.89±412.15, respectively). The placenta to birth weight ratio (PBWR) showed that IG group became lowest, merely 16.19%. The most influenced factor to LBW is the unhappiness of the women with her pregnancy (OR = 26.3, 95% CI = 1.227 - 566.474, p = 0.037). Conclusion: Moringa powder supplementation can be used as an alternative in improving new born baby weight. Pregnant women need to be happy and avoid stress to prevent LBW. Keywords: Low birth weight, iron supplementation, maternal nutritional status, Moringa Oleifera. |
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Abstract: Mulberry (Morus alba) fruit is abundant nutrients and phytochemicals, especially anthocyanins. Mulberries have anti-oxidant and anti-hyperlipidaemic effects both in vitroand animal models. However, the effect of mulberry fruits on lipid profiles in human is unknown. The aim of this study was to determine the effect of mulberry fruit consumption on lipid profiles in hypercholesterolemic subjects. This study is an experimental study, with a randomized controlled trial. Fifty-eight hypercholesterolemic subjects (aged 30-60 years) were recruited. The intervention group received freeze-dried mulberry 45 g (325 mg anthocyanins) per day for six weeks. The control group had their usual dietary intake for the same period of time. After six weeks, mulberry consumption significantly decreased the level of total cholesterol (TC) (- 3.73 % vs. 3.33 %, p < 0.001) and low density lipoprotein cholesterol (LDL-C) (- 6.53 % vs. 0.15 %, p < 0.001) compared to the control group. No change in triacylglycerol (TAG) and high density lipoprotein cholesterol (HDL-C). Mulberry consumption ameliorates TC and LDL-C concentrations. The mulberry fruits may be an alternative therapy for hypercholesterolemia patients and a cardiovascular disease protective for people in general. Keywords: |
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Abstract: Background: Cosmos caudatus (Ulam Raja) is an appetizer (ulam) eaten with rice in Malaysia. Previous studies showed that Cosmos caudatus possess high antioxidant content. Nrf2 is a transcription factor which regulates the expression of phase II enzymes and antioxidant proteins. The aim of this study is to investigate the effects of Cosmos caudatus aqueous extract (UR) on the expression of Nrf2 target genes in mice liver. Methods: ICR white mice were treated for 21 days with different doses of UR (100, 500, 1000 mg/kg) through oral gavage. Control mice were only given distilled water. After 21 days, the mice were sacrificed and their livers harvested. Total RNA was extracted, reverse transcribed and subjected to qPCR to detect Nrf2 target genes expression. Results: Administration of 100 mg/kg UR significantly increased NQO1 expression in mice liver. Administration of 500 mg/kg UR significantly increased HO-1 liver expression. Administration of 100 and 500 mg/kg UR significantly increased GSTA1 liver expression. Administration of 500 and 1000 mg/kg UR significantly increased GSTM3 liver expression, whereas GSTP and GSTM1 liver expression was significantly decreased at similar doses. Administration of all doses of UR significantly decreased the expression of GSTA3, SOD3 and GCLC in mice liver. Conclusion: UR administration mostly resulted in downregulation of Nrf2 target genes. However, conclusive evidence can only be made through the use of Nrf2 knockout mice or by performing Nrf2 nuclear translocation studies. Keywords: Cosmos caudatus, Nrf2, mice, liver, gene expression. |
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Abstract: Leaves of mulberry (Morus alba, L.) have been one of the prominent herbs widely used by traditional medicine for the treatment of diabetes mellitus. The objective of this study was to evaluate the effect of mulberry leaf tea on postprandial plasma glucose and insulin sensitivity after the ingestion of sucrose solution in non-diabetic subjects. This study was conducted on 14 subjects, with a crossover design. Subjects were initially screened for non-diabetic status (FBS < 126 mg/dL). Subjects were randomized to either mulberry leaf tea or water as control. The drink was consumed 30 minutes prior to oral administration of 75 grams sucrose solution. Blood samples were collected before (time point 0) and after sucrose ingestion at 30, 60, 90, 120, and 150 minutes. The treatment group which received mulberry leaf tea prior to the tolerance test tends to have a lower level of plasma glucose, serum insulin concentrations and AUC0-150 compared to the controlled group, but without significant difference. The mean difference of the incremental glucose level at each time point also tends to be lower for the mulberry group, with significant difference at 30-min time point (p = 0.04). No significant differences were found in insulin sensitivity. Therefore, the consumption of mulberry leaf tea may aid in postprandial glycemic control during the first 30 minutes after meal. Keywords: |
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Abstract: Introduction: As childhood obesity in the US reaches alarming levels, bariatric surgery is becoming a more commonly implemented treatment option due to its high success rate compared with behavioral modification and medical therapy alone. The mechanisms by which it affects body weight and metabolic homeostasis are not well understood. The goal of the present study was to perform a systematic review of pediatric bariatric surgery to evaluate its effectiveness in the context of the physiologic changes that are produced. Materials and Methods: The PubMed database, MEDLINE, Springer Link, Cochrane, and article bibliographies were used to identify original English-language articles published between 2009 and 2014 evaluating pediatric patients. Included studies evaluated patients undergoing Roux en Y gastric bypass, laparoscopic sleeve gastrectomy or laparoscopic adjustable gastric banding and analyzed weight loss, BMI reduction, postoperative complications and co-morbidity resolution post-procedure; all articles had at least a one year follow up. Results: Five studies were included in our evaluation of the three most common bariatric procedures currently performed on the pediatric population for a total of 1,395 patients. The average patient age was 18.2 and 72% of patients were females. Most patients underwent roux en Y gastric bypass (RYGB) (n=659), followed by laparoscopic adjustable gastric banding (LAGB) (n=554) and finally laparoscopic sleeve gastrectomy (LSG) (n=149). The greatest decrease in BMI was seen in the RYGB group who lost an average BMI of 16.7kg/m2, followed by the LSG group with a loss of 14.0kg/m2. The LAGB patients lost 8.2kg/m2. Postoperative complications varied in severity, however the only death occurred in a patient following RYGB. Conclusion:Bariatric surgery has proven to reduce BMI and weight in the adolescent population resulting in an enhanced quality of life and resolution of significant co-morbidities. The mechanism of weight loss is different among the three most common procedures, as is their affect on gut hormone profiles. Ghrelin may have an effect on weight loss, however it is not solely responsible for the procedures’ weight loss effect as levels vary postoperatively. RYGB has been shown to produce the greatest weight loss but postoperative ghrelin levels are not consistently decreased compared to LSG, which demonstrates low ghrelin levels routinely. Additional studies are needed to measure weight loss as it relates to postoperative gut hormone levels, as determining the physiologic changes after these procedures will guide future therapies. Keywords: Adolescent Bariatric surgery, Outcomes, Ghrelin. Download Full Article |